Journal of Abnormal Child Psychology

, Volume 26, Issue 4, pp 279–291

Revision and Restandardization of the Conners Teacher Rating Scale (CTRS-R): Factor Structure, Reliability, and Criterion Validity

  • C. Keith Conners
  • Gill Sitarenios
  • James D. A. Parker
  • Jeffery N. Epstein
Article

Abstract

The Conners Teacher Rating Scale (CTRS) is a commonly used research and clinical tool for assessing children's behavior in the classroom. The present study introduces the revised CTRS (CTRS-R) which improves on the original CTRS by (1) establishing normative data from a large, representative North American sample, (2) deriving a factor structure using advanced statistical techniques, and (3) updating the item content to reflect current conceptualizations of childhood disorders. Using confirmatory factor analysis, a six-factor structure was found which includes Hyperactivity-Impulsivity, Perfectionism, Inattention/Cognitive Problems, Social Problems, Oppositionality, and Anxious/Shy factors. The reliability of the scale, as measured by test-retest correlations and internal consistency, is generally satisfactory. Using all of the scale factors to discriminate between attention deficit hyperactivity disordered and normal children, 85 percent of children were correctly classified, supporting the validity of the scale and indicating excellent clinical utility. Similarities and differences between the original CTRS factor structure and the CTRS-R factor structure are discussed.

ADHD CTRS-R rating scale classroom behavior children 

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REFERENCES

  1. Abikoff, H., & Gittelman, R. (1985a). Hyperactive children treated with stimulants: Is cognitive training a useful adjunct? Archives of General Psychiatry, 42, 953-961.PubMedGoogle Scholar
  2. Abikoff, H., & Gittelman, R. (1985b). The normalizing effects of methylphenidate on the classroom behavior of ADDH children. Journal of Abnormal Child Psychology, 13, 33-44.PubMedGoogle Scholar
  3. Abikoff, H., & Gittleman, R. (1984). Does behavior therapy normalize the classroom behavior of hyperactive children? Archives of General Psychiatry, 41, 449-454.PubMedGoogle Scholar
  4. Achenbach, T. M., Howell, C. T., Quay, H. C., & Conners, C. K. (1991). National survey of problems and competencies among four-to sixteen-year-olds: Parents' reports for normative and clinical samples. Monographs of the Society for Research in Child Development, 56(3), 1-131.Google Scholar
  5. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
  6. American Psychological Association. (1985). Standards for educational and psychological testing. Washington, D.C.: Author.Google Scholar
  7. Anderson, J. C., & Gerbing, D. W. (1984). The effect of sampling error on convergence, improper solutions, and goodness-of-fit indices for maximum likelihood confirmatory factor analysis. Psychometrika, 49, 155-173.Google Scholar
  8. Barkley, R. A. (1990). Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York: Guilford Press.Google Scholar
  9. Barkley, R. A., Fischer, M., Edelbrock, C. S., & Smallish, L. (1990). The adolescent outcome of hyperactive children diagnosed by research criteria: I. An 8-year prospective follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 546-557.PubMedGoogle Scholar
  10. Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238-246.CrossRefPubMedGoogle Scholar
  11. Bentler, P. M. (1995). EQS structural equations program manual. Encino, CA: Multivariate Software.Google Scholar
  12. Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588-606.Google Scholar
  13. Brito, G. N. (1987). The Conners Abbreviated Teacher Rating Scale: Development of norms in Brazil. Journal of Abnormal Child Psychology, 15, 511-518.PubMedGoogle Scholar
  14. Brown, R. T. (1985). The validity of teacher ratings in differentiating between two subgroups of attention deficit disordered children with or without hyperactivity. Educational and Psychological Measurement, 45, 661-669.Google Scholar
  15. Camp, B. W., & Zimet, S. G. (1974). The relationship of teacher rating scales to behavior observations and reading achievement of first-grade children. Journal of Special Education, 8, 353-359.Google Scholar
  16. Cattell, R. B. (1978). The scientific use of factor analysis in behavioral and life sciences. New York: Plenum Press.Google Scholar
  17. Cole, D. A. (1987). Utility of confirmatory factor analysis in test validation research. Journal of Consulting and Clinical Psychology, 55, 584-594.PubMedGoogle Scholar
  18. Conners, C. K. (1969). A teacher rating scale for use in drug studies with children. American Journal of Psychiatry, 126, 884-888.PubMedGoogle Scholar
  19. Conners, C. K. (1989). Manual for Conner's Rating Scales. N. Tonawanda, NY: Multi-Health Systems.Google Scholar
  20. Conners, C. K. (1994). The Conners Rating Scales: Use in clinical assessment, treatment planning and research. In M. Maruish (Ed.), Use of psychological testing for treatment planning and outcome assessment (pp. 550-578). Hillsdale, NJ: Erlbaum Associates.Google Scholar
  21. Conners, C. K. (1997). Conners' Rating Scales—Revised; technical manual. North Tonawanda, NY: Multi-Health Systems.Google Scholar
  22. Conners, C. K., & Eisenberg, L. (1963). The effects of methylphenidate on symptomatology and learning in disturbed children. American Journal of Psychiatry, 120, 458-464.PubMedGoogle Scholar
  23. Conners, C. K., Eisenberg, L., & Barcai, A. (1967). Effect of dextroamphetamine on children. Studies on subjects with learning disabilities and school behavior problems. Archives of General Psychiatry, 17, 478-85.PubMedGoogle Scholar
  24. Conners, C. K., & March, J. S. (1994). A developmental history form for ADHD and related disorders. North Tonawanda, NY: Multi-Health Systems.Google Scholar
  25. Conners, C. K., Parker, J. D. A., & Sitarenios, G. (1997). Parent and teacher ratings of DSM-IV ADHD symptoms: A test of the subtype model. Manuscript submitted for publication.Google Scholar
  26. Curry, J., & Murphy, L. (1995). Comorbidity of anxiety disorders. In J. March (Ed.), Anxiety disorders in children and adolescents (pp. 301-317). New York: Guilford Press.Google Scholar
  27. Edelbrock, C., Greenbaum, R., & Conover, N. C. (1985). Reliability and concurrent relations between the teacher version of the Child Behavior Profile and the Conners Revised Teacher Rating Scale. Journal of Abnormal Child Psychology, 13, 295-303.PubMedGoogle Scholar
  28. Epstein, J. N., March, J. S., Conners, C. K., & Jackson, D. (1998). Racial differences on the Conners Teacher Rating Scale. Journal of Abnormal Child Psychology, 26, 109-118.PubMedGoogle Scholar
  29. Epstein, M. H., & Nieminen, G. S. (1983). Reliability of the Conners Abbreviated Teacher Rating Scale across raters and across time: Use with learning disabled students. School Psychology Review, 12, 337-339.Google Scholar
  30. Everett, J. E. (1983). Factor comparability as a means of determining the number of factors and their rotation. Multivariate Behavioral Research, 18, 197-218.Google Scholar
  31. Fischer, M., & Newby, R. F. (1991). Assessment of stimulant response in ADHD children using a refined multimethod clinical protocol [Special issue: Child psychopharmacology]. Journal of Clinical Child Psychology, 20, 232-244.Google Scholar
  32. Goyette, C. H., Conners, C. K., & Ulrich, R. F. (1978). Normative data on revised Conners Parent and Teacher Rating Scales. Journal of Abnormal Child Psychology, 6, 221-236.PubMedGoogle Scholar
  33. Gualtieri, C. T., Keenan, P. A., & Chandler, M. (1991). Clinical and neuropsychological effects of desipramine in children with attention deficit hyperactivity disorder. Journal of Clinical Psychopharmacology, 11, 155-159.PubMedGoogle Scholar
  34. Hinshaw, S. P. (1991). Externalizing behavior problems and academic underachievement in childhood and adolescence: Causal relationships and underlying mechanisms. Psychological Bulletin, 110, 1-29.Google Scholar
  35. Horn, W. F., Ialongo, N., Popovich, S., & Peradotto, D. (1987). Behavioral parent training and cognitive-behavioral self-control therapy with ADD-H children: Comparative and combined effects. Journal of Clinical Child Psychology, 16, 57-68.Google Scholar
  36. Joreskog, K. G., & Sorbom, D. (1986). LISREL VI: Analysis of linear structural relationships by maximum likelihood, instrumental variables, and least squares methods. Mooresville, IN: Scientific Software.Google Scholar
  37. Kendall, P. C., & Braswell, L. (1982). Cognitive-behavioral self-control therapy for children: A components analysis. Journal of Consulting and Clinical Psychology, 50, 672-689.PubMedGoogle Scholar
  38. Kendall, P. C., & Brophy, C. (1981). Activity and attentional correlates of teacher ratings of hyperactivity. Journal of Pediatric Psychology, 6, 451-458.PubMedGoogle Scholar
  39. Kessel, J. B., & Zimmerman, M. (1993). Reporting errors in studies of the diagnostic performance of self-administered questionnaires: Extent of the problem, recommendations for standardized presentation of results, and implications for the peer review process. Psychological Assessment, 5, 395-399.Google Scholar
  40. Klee, S. H., & Garfinkel, B. D. (1983). The computerized continuous performance task: A new measure of inattention. Journal of Abnormal Child Psychology, 11, 487-496.PubMedGoogle Scholar
  41. Lahey, B. B., Green, K. D., & Forehand, R. (1980). On the independence of ratings of hyperactivity, conduct problems, and attention deficits in children: A multiple regression analysis. Journal of Consulting and Clinical Psychology, 48, 566-574.PubMedGoogle Scholar
  42. Leung, P. W., Luk, S. L., & Lee, P. L. (1989). Problem behaviour among special school children in Hong Kong: A factor-analytical study with Conner's Teacher Rating Scale. Psychologia An International Journal of Psychology in the Orient, 32, 120-128.Google Scholar
  43. Luk, S. L., & Leung, P. W. (1989). Conners' Teacher's Rating Scale: A validity study in Hong Kong. Journal of Child Psychology and Psychiatry and Allied Disciplines, 30, 785-793.Google Scholar
  44. Luk, S. L., Leung, P. W., & Lee, P. L. (1988). Conner's Teacher Rating Scale in Chinese children in Hong Kong. Journal of Child Psychology and Psychiatry and Allied Disciplines, 29, 165-174.Google Scholar
  45. March, J. S., Leonard, H. L., & Swedo, S. E. (1995). Neuropsychiatry of pediatric obsessive-compulsive disorder. Comprehensive Therapy, 21, 507-512.PubMedGoogle Scholar
  46. Marsh, H. W., Balla, J. R., & McDonald, R. P. (1988). Goodness-of-fit indexes in confirmatory factor analysis: The effect of sample size. Psychological Bulletin, 103, 391-410.Google Scholar
  47. Milich, R., & Landau, S. (1982). Socialization and peer relations in hyperactive children. In K. D. G. I. Bialer (Ed.), Advances in learning and behavioral disabilities (Vol. 1, pp. 283-339). Greenwich, CT: JAI Press.Google Scholar
  48. Milich, R., Roberts, M. A., Loney, J., & Caputo, J. (1980). Differentiating practice effects and statistical regression on the Conners Hyperkinesis Index. Journal of Abnormal Child Psychology, 8, 549-552.PubMedGoogle Scholar
  49. Munir, K., Biederman, J., & Knee, D. (1987). Psychiatric comorbidity in patients with attention deficit disorder: A controlled study. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 844-848.PubMedGoogle Scholar
  50. O'Leary, K. D., Vivian, D., & Nisi, A. (1985). Hyperactivity in Italy. Journal of Abnormal Child Psychology, 13, 485-500.PubMedGoogle Scholar
  51. Parker, J. D. A., Sitarenios, G., & Conners, C. K. (1996). Abbreviated Conner's Rating Scales revisited: A confirmatory factor analytic study. Journal of Attention Disorders, 1, 55-62.Google Scholar
  52. Pelham, W. E., Milich, R., Murphy, D. A., & Murphy, H. A. (1989). Normative data on the IOWA Conners Teacher Rating Scale. Journal of Clinical Child Psychology, 18, 259-262.Google Scholar
  53. Rapport, M. D., DuPaul, G. J., Stoner, G., & Jones, J. T. (1986). Comparing classroom and clinic measures of attention deficit disorder: Differential, idiosyncratic, and dose-response effects of methylphenidate. Journal of Consulting and Clinical Psychology, 54, 334-341.PubMedGoogle Scholar
  54. Reid, R. (1995). Assessment of ADHD with culturally different groups: The use of behavioral rating scales. School Psychology Review, 24, 537-560.Google Scholar
  55. Roberts, M. A., Milich, R., Loney, J., & Caputo, J. (1981). A multitrait-multimethod analysis of variance of teachers' ratings of aggression, hyperactivity, and inattention. Journal of Abnormal Child Psychology, 9, 371-380.PubMedGoogle Scholar
  56. Satin, M. S., Winsberg, B. G., Monetti, C. H., Sverd, J., & Foss, D. A. (1985). A general population screen for attention deficit disorder with hyperactivity. Journal of the American Academy of Child Psychiatry, 24, 756-764.PubMedGoogle Scholar
  57. Sprague, R. L., & Sleator, E. K. (1973). Effects of psychopharmacologic agents in learning disorders. Pediatric Clinics of North America, 20, 719-735.PubMedGoogle Scholar
  58. Stein, M. A., & O'Donnell, J. P. (1985). Classification of children's behavior problems: Clinical and quantitative approaches. Journal of Abnormal Child Psychology, 13, 269-279.PubMedGoogle Scholar
  59. Tanaka, J. S., & Huba, G. J. (1984). Confirmatory hierarchical factor analyses of psychological distress measures. Journal of Personality and Social Psychology, 46, 621-635.Google Scholar
  60. Taylor, E., & Sandberg, S. (1984). Hyperactive behavior in English schoolchildren: A questionnaire survey. Journal of Abnormal Child Psychology, 12, 143-155.PubMedGoogle Scholar
  61. Trites, R. L., Blouin, A. G., & Laprade, K. (1982). Factor analysis of the Conners Teacher Rating Scale based on a large normative sample. Journal of Consulting and Clinical Psychology, 50, 615-623.PubMedGoogle Scholar
  62. U.S. Department of Commerce. (1996). Statistical abstract of the United States: The national data book. Washington DC: U.S. Department of Commerce, Bureau of the Census.Google Scholar
  63. Werry, J. S., & Hawthorne, D. (1976). Conner's Teacher Questionnaire—Norms and validity. Australian and New Zealand Journal of Psychiatry, 10, 257-262.PubMedGoogle Scholar
  64. Werry, J. S., & Sprague, R. L. (1974). Methylphenidate in children: Effect of dosage. Australian and New Zealand Journal of Psychiatry, 8, 9-19.PubMedGoogle Scholar
  65. Zentall, S. S., & Barack, R. S. (1979). Rating scales for hyperactivity: Concurrent validity, reliability, and decisions to label for the Conners and Davids Abbreviated Scales. Journal of Abnormal Child Psychology, 7, 179-190.PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1998

Authors and Affiliations

  • C. Keith Conners
    • 1
  • Gill Sitarenios
    • 2
  • James D. A. Parker
    • 3
  • Jeffery N. Epstein
    • 1
  1. 1.Duke University Medical CenterDurham
  2. 2.York UniversityTorontoCanada
  3. 3.Trent UniversityPeterboroughCanada

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